Association between physical function and hospitalization among older patients with pre-dialysis chronic kidney disease after educational hospitalization: A single-center prospective cohort study
Corresponding Author
Aki Tabata
Department of Rehabilitation, Seirei Sakura Citizen Hospital, Chiba, Japan
Correspondence
Aki Tabata, Department of Rehabilitation, Seirei Sakura Citizen Hospital, 2-36-2 Ebaradai, Sakura-shi, Chiba 285-8765, Japan.
Email: [email protected]
Search for more papers by this authorHiroki Yabe
Department of Physical Therapy, School of Rehabilitation Sciences, Seirei Christopher University, Shizuoka, Japan
Search for more papers by this authorTakehide Katogi
Department of Rehabilitation, Seirei Sakura Citizen Hospital, Chiba, Japan
Search for more papers by this authorYuya Mitake
Department of Rehabilitation, Seirei Sakura Citizen Hospital, Chiba, Japan
Search for more papers by this authorShunta Oono
Department of Rehabilitation, Seirei Sakura Citizen Hospital, Chiba, Japan
Search for more papers by this authorTakayuki Fujii
Department of Nephrology, Seirei Sakura Citizen Hospital, Chiba, Japan
Search for more papers by this authorCorresponding Author
Aki Tabata
Department of Rehabilitation, Seirei Sakura Citizen Hospital, Chiba, Japan
Correspondence
Aki Tabata, Department of Rehabilitation, Seirei Sakura Citizen Hospital, 2-36-2 Ebaradai, Sakura-shi, Chiba 285-8765, Japan.
Email: [email protected]
Search for more papers by this authorHiroki Yabe
Department of Physical Therapy, School of Rehabilitation Sciences, Seirei Christopher University, Shizuoka, Japan
Search for more papers by this authorTakehide Katogi
Department of Rehabilitation, Seirei Sakura Citizen Hospital, Chiba, Japan
Search for more papers by this authorYuya Mitake
Department of Rehabilitation, Seirei Sakura Citizen Hospital, Chiba, Japan
Search for more papers by this authorShunta Oono
Department of Rehabilitation, Seirei Sakura Citizen Hospital, Chiba, Japan
Search for more papers by this authorTakayuki Fujii
Department of Nephrology, Seirei Sakura Citizen Hospital, Chiba, Japan
Search for more papers by this authorAbstract
Introduction
This study aimed to investigate the factors associated with hospitalization in older patients with pre-dialysis CKD, including physical function.
Methods
This single-center, prospective cohort study included 111 patients aged ≥65 years with stage 3–5 non-hemodialyzed CKD. Physical function was assessed using the short physical performance battery (SPPB), 10-m walk test, and grip strength test. Hospitalizations and reasons for readmission were tracked from discharge to the end of the follow-up period.
Results
Kaplan–Meier analysis showed significant associations between rehospitalization and SPPB, 10-meter walk speed, and grip strength. The cutoff values predicting rehospitalization were 11 points for SPPB, 1.1 m/s for 10-meter walk speed, and 31 kg for grip strength. Multivariate Cox regression revealed that SPPB, hemoglobin, and estimated glomerular filtration rate (eGFR) were independently associated with rehospitalization risk.
Conclusions
SPPB may predict hospitalization in older pre-dialysis CKD patients, emphasizing the importance of screening and preventing physical function decline.
CONFLICT OF INTEREST STATEMENT
The authors have declared that no conflict of interest exists.
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